﻿<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.01//EN" "http://www.w3.org/TR/html4/strict.dtd">
<%namespace YouHP.Model%>
<%namespace YouHP.Utility%>
<html>
<head>
	<link rel="stylesheet" type="text/css" href="/support/alpha/style.css" />
	<link rel="stylesheet" href="/support/common/jquery-ui.css" type="text/css" />
	<link rel="stylesheet" href="/support/common/impromptu.css" type="text/css" />
	<script type="text/javascript"" src="/support/common/common.js"></script>
	<script type="text/javascript"" src="/support/common/jquery.js"></script>
	<script type="text/javascript"" src="/support/common/impromptu.js"></script>
	<script type="text/javascript"" src="/support/common/ui.core.js"></script>
	<script type="text/javascript"" src="/support/common/ui.datepicker.js"></script>
	<script type="text/javascript"" src="/support/common/ui.datepicker-zh-CN.js"></script>
	<style>td { text-align:left } </style>
</head>
<body>
	<div style="padding:5px 0px; border-bottom:1px solid #D9DDE1;"><font style="color:Blue;font-size:14px;">{SymData.Name}</font></div>
	<input type="hidden" name="symid" id="symid" value='{SymData.Id}'>
	<table>
		<tbody>
		<tr>
			<td class="table-box-left">日期</td>
			<td >
				 <input class="box-var validate-date" id="date" maxlength="10" size="10" name="date" style="vertical-align:middle;" value='{DateTime.Today.ToString("yyyy-MM-dd")}'/>
				<em class="helptext">格式：年-月-日(1970-03-08)</em>
			</td>
		 </tr>
		 <tr valign="top">
			 <td class="table-box-left">症状程度</td>
			 <td >
				<input name="degree" id="degree3" type="radio" value="{Constants.SYMPTOM_SEVERE.ToString()}"> 
					<img src="/support/alpha/symptom/severe.png" />
					&nbsp;&nbsp;重度
					&nbsp;&nbsp;（{SymData.SevereDescription}）
				<br />
				<input name="degree" id="degree2" type="radio" value="{Constants.SYMPTOM_MODERATE.ToString()}">
					<img src="/support/alpha/symptom/moderate.png" />
					&nbsp;&nbsp;中度
					&nbsp;&nbsp;（{SymData.ModerateDescription}）
				<br />
				<input name="degree" id="degree1"  type="radio" value="{Constants.SYMPTOM_MILD.ToString()}"> 
					<img src="/support/alpha/symptom/mild.png" />
					&nbsp;&nbsp;轻度
					&nbsp;&nbsp;（{SymData.MildDescription}）
				<br />
				<input name="degree" type="radio" id="degree0" value="{Constants.SYMPTOM_NONE.ToString()}"> 
					<img src="/support/alpha/symptom/none.png" />
					&nbsp;&nbsp;无
			 </td>
		</tr>
		<tr>
			<td class="table-box-left">&nbsp;</td>
			<td > 
			  
					<a href="javascript:AddHistory();" class="yellowbutton">提交</a>
			   
			</td>
		</tr>   
		</tbody>
		</table>
	<script type="text/javascript" src="/support/Alpha/Js/symptomhistory/historyadd.js"></script>
</body>	
</html>	
